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Doctoral Thesis
DOI
https://doi.org/10.11606/T.23.2014.tde-11092014-153436
Document
Author
Full name
Ceci Nunes Carvalho
E-mail
Institute/School/College
Knowledge Area
Date of Defense
Published
São Paulo, 2014
Supervisor
Committee
Gavini, Giulio (President)
Andrade, Flaviana Bombarda de
Corrêa, Vivian Bradaschia
Martinelli, José Roberto
Pappen, Fernanda Geraldo
Title in Portuguese
Efeito da adição de partículas de vidro niobofosfato bioativo à guta-percha: desenvolvimento, caracterização, resistência de união à dentina e influência na formação de biofilmes microbianos
Keywords in Portuguese
Guta-percha
Nióbio
Obturação
Push-out
Resistência de união
Vidro Fosfato
Abstract in Portuguese
Os objetivos deste estudo foram desenvolver e caracterizar um compósito para obturação endodôntica à base de guta-percha e vidro niobofosfato. Foi avaliado a resistência de união à dentina radicular do compósito experimental, da guta EndoSequence BC, ambos sem o uso de cimento além do cimento AH Plus associado a guta-percha através do ensaio de push-out. A análise dos padrões de fratura foi realizada com auxílio de MEV. Análises usando EDX and MEV-EDS foram realizadas para verificar a composição e distribuição das partículas de vidro na superfície e no interior da matriz de guta-percha dos materiais testados. Os resultados foram analisados estatisticamente pelos testes ANOVA e Tukey, sendo considerado significante quando p < 0,05. Foi avaliado também a influência do compósito experimental, do vidro niobofosfatos bioativo, diferentes tipos de gutapercha e hidroxiapatita na adesão e formação de biofilme por bactérias orais com coloração Live/dead usando um microscópio confocal à laser. O biofilme multiespécies foi formado na superfície de discos de hidroxiapatita - HA, vidro niobofosfato - VNB, guta-percha Obtura - OBT, guta-percha Protaper - PTP, EndoSequence BC guta-percha - GBC e o compósito experimental guta-percha associado com o vidro niobofosfato - GNB. O biovolume total (mm3), biovolume de bacterias viáveis (mm3), e porcentagem de bactérias viáveis (%) foram quantificados. As diferenças entre os grupos foram avaliadas usando ANOVA de dois fatores e teste de Tukey para contraste de médias (=0,05). Os materiais testados foram imersos em PBS e o pH das soluções foi avaliado. Os materiais foram imersos em água deionizada e as soluções foram analisadas em ICP-OES (Espectrometria de emissão atômica por plasma acoplado indutivamente) para determinar a liberação de diferentes elementos químicos. AH Plus e o material experimental não mostraram diferença estatística significante na resistência de união à dentina (2,83 MPa e 2,68 MPa respectivamente). Já o material Guta EndoSequence BC apresentou o menor valor de resistência de união (1,34 MPa) com diferença estatística significante em comparação aos demais grupos (p < 0,05). Os grupos GNB, GBC e VNB apresentaram os menores valores de biovolume total em 30 dias. Os maiores valores de biovolume viável em 30 dias de incubação em ordem decrescente foram: HA; PTP e OBT; GBC e VNB e finalmente GNB. Com relação a porcentagem de biovolume viável o material experimental GNB apresentou os menores valores para 3 e 30 dias enquanto o VNB apresentou o menor valor para 14 dias com diferença estatisticamente significante em relação aos demais grupos (p < 0,05). O material experimental GNB apresentou o maior valor de pH após 30 dias de imersão em PBS e maior liberação de Zn em todos os períodos analisados quando comparado aos demais grupos e maior liberação de Ca aos 14 e 30 dias semelhante ao grupo GBC, o qual liberou mais Si comparado aos demais grupos nos períodos de 14 e 30 dias. O material obturador experimental mostrou habilidade em aderir à dentina radicular de maneira similar à obturação convencional com guta-percha e cimento (Ah Plus) e foi capaz de inibir a formação de biofilme microbianos quando comparado a HA e guta-percha convencionais.
Title in English
Effect of the addition of the niobophosphate bioactive glass in the gutta-percha: Development, characterization, bond strength to dentin and influence on biofilm formation
Keywords in English
Gutta-percha
Niobium
Obturation
Phosphate glass
Push-out bond strength
Abstract in English
The objectives of this study were to develop and characterize a composite for endodontic obturation based gutta-percha and niobium phosphate glass. The study evaluated the composites micropush-out bond strength to root dentine of the experimental gutta-percha and niobium phosphate glass composite applied with thermoplastic technique to the root canals without sealer in a moist environment and compare to the conventional root canal obturation Ah Plus and gutta-percha, and a commercial bioceramic gutta without sealer. Additionally, the cores materials were characterized using Scanning Electron Microscopic/Energy-dispersive X-ray (SEM/EDS) and Energy Dispersive X-ray fluorescence spectrometry (EDX) analysis. The failure mode was analyzed with SEM. Analysis using EDX and SEMEDS was carried out to verify the composition and distribution of the particles of the tested materials. Data were statistically analyzed by one-way ANOVA and Tukeys test (p < 0,05). Also was analysed the influence of different types of gutta-percha and bioactive niobium phosphate glass on the adherence and biofilm formation by oral bacteria from human dental plaque with Live/dead staining assay using confocal laser scanning microscopy (CLSM). The multispecies biofilm was grown from plaque bacteria on discs of hydroxyapatite - HA, niobium phosphate bioactive glass- VNB, Obtura pellets - OBT, Protaper gutta-percha - PTP, EndoSequence BC gutta-percha - GBC and gutta-percha associated with niobium phosphate glass - GNB in brain-heart infusion broth for 3,14 and 30 days. After the growth induction periods, specimens were stained by using Live/Dead, and the images were analyzed under a CLSM. The total biovolume (mm3), viable biovolume (mm3), and Live percentage (%) were quantified. Biofilm structure was visualized by scanning electron microscopy (SEM). The materials were immersed in phosphate-buffered saline (PBS) and the pH in the solutions was monitored. The materials were also immersed in deionized water and the solutions were analyzed with ICP-OES (Inductively Coupled Plasma - optical emission spectrometry) to determine elemental release. AH Plus and GNB groups showed bond strengths of 2,83 MPa and 2,68 MPa respectively, with no statistically significant difference between them (p > 0,05). GBC group had the lowest bond strength average (1,34 MPa), which was a statistically significant difference compared to the other groups (p < 0,05). Groups GBC, GNB and VNB presented the lowest total biovolume values in 30 days. The highest viable biovolume values in 30 days of incubation, in decreasing order, were as follows: HA; PTP and OBT; GBC and VNB and finally GNB. As regards live percentage, the experimental material GNB presented the lowest values at 3 and 30 days, while VNB presented the lowest value at 14 days, with statistically significant difference in comparison with the other groups (P < 0,05). The experimental material GNB presented the highest pH value after 30 days of immersion in PBS, and greatest Zn release in all the time intervals analyzed when compared with the other groups; and the greatest Ca release at 14 and 30 days, similar to Group GBC, which released a larger quantity of Si when compared with the other groups in the time intervals of 14 and 30 days. The experimental root filling composite (GNB) showed an ability to adhere to root dentine equal to the current gold standard root filling with gutta-percha and sealer (Ah Plus) and was able to inhibit the formation of microbial biofilm when compared to HA and conventional gutta-percha.
 
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Publishing Date
2014-10-14
 
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